VELA assessment referal form | Bennett Workplace Solutions

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VELA assessment referral form

VELA assessment:

VELA chair assessments are conducted by our highly trained assessors, usually in conjunction with your Occupational Therapist or Physiotherapist. Assessments can take place either within the home, school or work environment and usually last for around an hour. The assessor will bring demonstration chairs and accessories for the user to try. Doing so ensures the correct size/model of chair is recommended to provide the best possible comfort and support.

VELA chair review:

VELA chair reviews are conducted by our highly trained Assessors, usually in conjunction with your Occupational Therapist or Physiotherapist. Chair reviews can take place either within the home, school or work environment and usually last for around an hour. The assessor will firstly look at the user in their existing chair. Depending on the individual circumstances and requirements of the user, the assessor may be able to adjust the chair to ensure a better fit during the review. Alternatively, if the chair cannot be adjusted on the day, the assessor can make recommendations for accessories or adaptations to the chair, again to ensure the best fit possible.

Type of assessment required:
New chair assessment
Existing chair review/assessment

End user details

Full name:
User age:
User condition/specific requirements (ie, need for lateral supports, hip guides etc):
User address (where assessment will take place):

Occupational therapist details (or referrer)

OT organisation/NHS trust:

User address (where assessment will take place):
OT name:
OT email:
OT phone:
Any additional information:

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